| NPI | 1073022125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: WI 15161-146) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: OR 22537) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-05-26 |